GOATEE VASCULAR LLC NPI 1962765081

NPI Information

GOATEE VASCULAR LLC is a vascular surgery surgery in Myrtle Beach, SC. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. GOATEE VASCULAR LLC NPI is 1962765081. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4036 RIVER OAKS DR
UNIT B2
MYRTLE BEACH, SC
ZIP 29579-695
Phone: (757) 333-2066
Fax: (757) 467-2703

The provider's authorized official is Angela N Schwarzkopf .
The authorized official title is Administrator and has the following contact phone number (757) 333-2066.

The enumeration date for this NPI number is 6/22/2012 and was last updated on 6/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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